Elsevier

Fertility and Sterility

Volume 84, Issue 2, August 2005, Pages 504-508
Fertility and Sterility

Techniques and instrumentation
Confirmation of Essure® microinsert tubal coil placement with conventional and volume-contrast imaging three-dimensional ultrasound

Presented at the Global Congress of Gynecologic Endoscopy, San Francisco, California, November 10–13, 2004.
https://doi.org/10.1016/j.fertnstert.2005.01.135Get rights and content
Under an Elsevier user license
open archive

Objective

To determine the accuracy of ultrasound in the assessment of proximal fallopian tube positioning of the Essure® microinsert coil 3 months after postprocedure.

Design

Prospective cohort study (Canadian Task Force classification II-2).

Setting

Reproductive-age women in a tertiary care hospital.

Patient(s)

Reproductive-age women presenting with a request for permanent contraception.

Intervention(s)

Hysteroscopic sterilization with the Essure® microinsert coil and conventional or volume-contrast three-dimensional (3D) ultrasound imaging 3 months after the procedure.

Main Outcome Measure(s)

Coil position on ultrasound.

Result(s)

Forty-eight of the 50 patients had successful placement of the Essure® coils, and three patients required a second attempt on one tube. Conventional or volume-contrast (3D) ultrasound showed proper positioning of the coils within the proximal fallopian tube in 42 women (84%); five women (10%) required hysterosalpingogram to show appropriate positioning. Two patients (4%) required laparoscopic tubal sterilization, and one patient (2%) was lost to follow-up.

Conclusion(s)

Transvaginal ultrasound is an acceptable method of confirming proper placement of the Essure® microinsert coil within the proximal fallopian tube 3 months after the procedure.

Key Words

Sterilization
hysteroscopy
contraceptive devices
ultrasonography
fallopian tubes
prospective study

Cited by (0)